Deroos, Timothy David

Deroos, Timothy David is an individual health care provider with primary practice located at 340 Sunset Dr Nw , Cleveland TN 37312-5349. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Deroos, Timothy David can be contacted via phone (426) 614-5654.

Contact Information

Primary practice address
340 Sunset Dr Nw Cleveland TN 37312-5349
Phone: (426) 614-5654
Fax: (423) 614-5645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC1294 Tennessee

Profile Details

NPI number 1851421523
LBN Legal business name Deroos, Timothy David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851421523 NPPES
Tennessee MEDICAID 3730366
Tennessee Other 3043835

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